RT Journal Article
SR Electronic
T1 Parent Presence During Complex Invasive Procedures and Cardiopulmonary Resuscitation: A Systematic Review of the Literature
JF Pediatrics
JO Pediatrics
FD American Academy of Pediatrics
SP 842
OP 854
DO 10.1542/peds.2006-3706
VO 120
IS 4
A1 Dingeman, R. Scott
A1 Mitchell, Elizabeth A.
A1 Meyer, Elaine C.
A1 Curley, Martha A.Q.
YR 2007
UL http://pediatrics.aappublications.org/content/120/4/842.abstract
AB We conducted a systematic review of the literature on parent presence during complex invasive pediatric procedures and/or resuscitation. We identified 15 studies that met our inclusion criteria. All studies were summarized chronologically according to level of evidence. The studies all demonstrated that parents prefer to have the choice about whether they remain at their child's side during complex invasive procedures and resuscitation, but they also revealed that apprehensions and controversy abound among clinicians regarding this practice. Despite the endorsements of the American Academy of Pediatrics and the Society of Critical Care Medicine and the recommendations of the American Heart Association, few pediatric institutions have drafted guidelines, conducted clinical education, or committed sufficient staff resources to fully support this practice. We present this review not only to illustrate the various perspectives of parents/guardians, clinicians, and pediatric patients themselves that have been reported to date but also to encourage more research so that the practice can be performed safely and benefit parents, their children, and clinicians alike.